title: Use of simulation to practice multidisciplinary anaphylaxis management.
abstract: Multidisciplinary clinical simulation can be an essential part of nursing education strategies to improve and enhance patient safety and experience. Clinical simulation can be utilized to change practice, reinforce practices, and direct patient and family education needs for a safe discharge. Anaphylaxis is potentially fatal and is increasing in occurrence. A simulation scenario was designed by a multidisciplinary team to review anaphylaxis recognition and to provide simulated practice for emergency response. Clinical scenarios were developed based on evidence-based practices and included a prebriefing and postdebriefing. Bandura's self-efficacy theory was used as a framework to develop the project, as it supports behavior change strategies well suited for clinical simulation. Clinical simulations provide a nonthreatening environment for staff to learn, practice, and receive feedback to improve patient care and serve as a vehicle to role-play expected practices, enhance communication between disciplines, demonstrate progress, and evaluate competency.
authors.affiliation: Virginia M. Mason, PhD, RN, CCRN, ACNS-BC, is a nurse educator for Critical Care and Perioperative Services at Boston Medical Center. She has a BSN from Boston College, MSN from Yale University Graduate School of Nursing, and PhD from University of Mass Worcester-Amherst Collaborative Graduate School of Nursing and has completed postdoctoral studies at Yale University Graduate School of Nursing. She is a member of the Advisory Board of the Continuing Nursing Education Provider Unit at Boston University School of Medicine. Patricia Lyons, MSN, RN, CNS-BC, CCRN, CPAN, is a clinical educator for Critical Care and Perioperative Services at Boston Medical Center. She has a BSN from the University of Massachusetts at Boston and MSN and post master's certificate in education from Regis College. She is the 2012-2013 President of the Greater Boston Chapter of the American Association of Critical-Care Nurses.
authors.forename: Virginia M
authors.initials: VM
authors.lastname: Mason
authors.forename: Patricia
authors.initials: P
authors.lastname: Lyons
mesh_terms: D000707:Anaphylaxis / Q000175:diagnosis* / Q000188:drug therapy / Q000451:nursing*; D001993:Bronchodilator Agents / Q000008:administration & dosage; D004837:Epinephrine / Q000008:administration & dosage; D055317:Evidence-Based Practice; D006801:Humans; D007318:Inservice Training / Q000379:methods*; D008348:Manikins; D010348:Patient Care Team
chemical_list: D001993:Bronchodilator Agents; D004837:Epinephrine